Provider Demographics
NPI:1477961290
Name:PIONEER HOME HEALTH OF STOKES LLC
Entity Type:Organization
Organization Name:PIONEER HOME HEALTH OF STOKES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:S
Authorized Official - Last Name:MCNULTY
Authorized Official - Suffix:III
Authorized Official - Credentials:
Authorized Official - Phone:601-849-6440
Mailing Address - Street 1:1111 HOSPICE DR
Mailing Address - Street 2:
Mailing Address - City:DANBURY
Mailing Address - State:NC
Mailing Address - Zip Code:27016-7380
Mailing Address - Country:US
Mailing Address - Phone:336-593-2401
Mailing Address - Fax:336-593-5933
Practice Address - Street 1:1111 HOSPICE DR
Practice Address - Street 2:
Practice Address - City:DANBURY
Practice Address - State:NC
Practice Address - Zip Code:27016-7380
Practice Address - Country:US
Practice Address - Phone:336-593-2401
Practice Address - Fax:336-593-5933
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-07-24
Last Update Date:2015-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health